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Home My WebLink AboutPV2020-170 - PermitsCity of Newport Beach - Building Divistion r PO Box 1768 Newport Beach, California 92658-8915 SOLAR Permit: PV2020-170 *PV2020-170* Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 1954-2020 Job Address: 3 RIVAGE NB Issued Date : 08/18/2021 Description:SFR SOLAR PHOTOVOLTAIC 10.2kw, (30) ROOF MOUNTED PANELS I N E3 P E T _. J ; ; I'IGAL ME- /- LLIC TI-JUH JG Inspector Area:6 LegalDesc.: i-0 IS NOT ALLOWED FOR Owner: NGUYEN DUKE Contractor: TESLA ENERGY OPERATIONS Architect: Address: 3 RIVAGE Address: 2102LALTON PARKWAY #B Address: EXTERIOR APPLIC"ATIC.2i` S NEWPORT BEACH CA 92657 IRVINE CA 92606 '" Phone: Phone: 650-638-1028 Phone: State Lic: s c Applicant: STABLEIN SAM Con State Lic: 888104 Engineer: DE VERA ABELARDO Address: 2102 ALTON PKWY #B Lic Expire: 1213112022 Address: 22701 RASHDALL AVE • * ° c IRVINE CA 92606 Bus Lic: BT30026827 CARSON CA 90745 Phone: 714496-0688 Lic Exp Date: 02/28/2022 Phone: 888-765-2489X7526 State Lio:S-005185 Code Edit: 2019 Worker's Compensation Insurance Designer: STABLEIN SAM Type of Construction: VB Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY Occupancy Group: R3/U Policy No: WC107458303 IRVINE CA 92606 bOBJ No of Stories: 2 Expire: 10/31/2021 Phone: 714.496-0686 0 e oC Building Setbacks Rear: OB.... Use Zone: Front: ._^�° Bldg Height: 0 Left: Right: Valutaion: $61,200.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance: $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signatrrc Ul8w I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure TMT have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Pwfossions Code iia available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. SignatLre of ArcperW*Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hEtSby affirm Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withSec ion 7000) of Division 3 of the Business an fessions Code, an license is in full force and effect. • • • • • ��L�l r /l1j Lic9rise Class 1� License No V'—f Datey�4� Contractor Signatu WORKERS'COM("ENSATION DECLARATION WARN*VG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE O. P9 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hbre* affirm•0holpf4enalty of perjury one of the following declarations: .. L have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth( w0p0ance oifiv"4k for which this permit is issued. Policy No. �iave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier t�anld 1W11c�y number are: n ( `b / 0--7`� Carrier �� IN u �Y/1 �L' j Ca vpolicy Number `�'C j D-4 \2S Expiration Date ` Name of Agent Phone # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become s ' ct to the workers' co ens_ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. + Signature of Applica t Date 7 `2-4� DECLARATION REG N ONSTRUCTION ING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun enter the above-ider',tpF,e'd f roperty for inspection purposes. Signature of Property Owner or Authorized Ageffi � /1� � Y`-� Print Property Owner's or Authorized Agent's NameDate tS 1 Ul ACTION I DATE I BY I PERMIT EXPIRED I I I PERMiT CAN'CELCEO PERMIT EXTENOED PERMIT FINAL CERTI FICATE OF OCCUPANCYISSUED PART 81 OF TITLE 40 AND AQMD ROLE 1401. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOURCATTON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.,